头癌患者的康复前干预:系统性审查和元分析
Ishith Seth1,2,3,4, Gabriella Bulloch2, Kirby R Qin1,4
1Department of Surgery, Peninsula Health, Melbourne, Victoria, Australia.
Head & neck
|October 28, 2023
概括
包括营养和运动在内的预康复计划显著改善了头癌 (HNC) 患者的结果. 这些干预措施提高了生活质量,减少了死亡率,发病率和住院时间.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 营养科学 营养科学
背景情况:
- 头癌 (HNC) 患者经常经历显著的发病率和死亡率.
- 预康复干预旨在改善癌症治疗前患者的治疗结果.
- 营养和运动在HNC预康复中的作用尚未完全阐明.
研究的目的:
- 系统地审查预康复干预措施,特别是营养和运动对头癌 (HNC) 患者的影响.
主要方法:
- 在多个数据库中进行了全面的文献搜索,截至2022年12月.
- 包括的研究使用既有工具 (科克兰协作,纽卡斯尔太华尺度) 进行了质量评估.
- 主要结局包括生活质量,住院时间,并发症,体重指数,肌肉质量和功能评估.
主要成果:
- 营养干预导致体重显著保持,住院时间减少,并发症减少.
- 精神教育与营养相结合显著降低死亡率.
- 运动干预显著减少了食障碍,运动和营养结合改善了体重,住院,并发症和食障碍.
结论:
- 包括运动,营养和精神教育在内的预康复计划显然可以改善HNC患者的结果.
- 需要进行更长时间的随访和更大的样本大小的进一步研究.
- 需要对营养补充剂与运动计划进行比较研究.
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